HomeMy WebLinkAboutMESLOH ULLMANN THE ENGINEERING COMPANY - INSURANCE CERTIFICATE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE
11-10-2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
VAN GILDER AGCY CO jA&E PRGM/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
343366 P: (866)467-8730 F: (877)905-0457 ALTER_ THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P . 0. BOX 33015 INSURERS AFFORDING COVERAGE
SAN ANTONIO TX 78265
INSURED IINSURERA:Hartford Accident & Indemnity Co
MESLOH-ULLMANN, INC. DBA THE INSURER B:
ENGINEERING COMPANY INSURERC:
2310 E. PROSPECT, STE B IINSURER D:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN RI
lTR
TYPE OF INSURANCE
PoLICV NUMBER POLICY EFFECTIVE PoLICY EXMRATION LIMITS
DATE MM/DD/VV DATE MM/DDIYY
GENERAL LIABILITY
EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
` FIRE DAMAGE (Any one fire) I $
CLAIMS MADE U OCCUR
MED EXP (Any one person) $
PERSONAL. & ADV INJURY $
GENERAL AGGREGATE S
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $
POLICY ' j CT ' LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO
(Ea accident)
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person) $
HIRED AUTOS
BODILY INJURY S
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE $
(Per accident)
AGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
I
EA ACC $
OTHER THAN
AUTO ONLY: AGG S
EXCESS LIABILITY
EACH OCCURRENCE $
OCCUR u CLAIMS MADE
AGGREGATE S
S
DEDUCTIBLE
S
RETENTION $
$
WORKERS COMPENSATWN AND
WC DRYSLALIMT T- � X OTH-
A
EMPLOYERS'LIABILITY
34 WEG KE5019
01/01/05
01/01/06
E.L. EACH ACCIDENT
$1, 000, 000
E.L. DISEASE - EA EMPLOYEE
$1 , 0 0 0 , 0 0 0
E.L. DISEASE - POLICY LIMIT
$1, 0 0 0, 0 0 0
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECINL PROVISIONS
Those usual to the Insured's Operations.
L.CH I IPIL.A I C MVLLH:K
I I ADDITIONAL INSURED: INSURER LETTER:
L:AN(:GLLAIIUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City
of Fort
Collins
45 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
Attn :
James
B O' Niell I I
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
.
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O.
BOX 580
REPRESENTATIVES.
Fort
Collins,
CO 80522
ACORD 25-S (7/97) 0 ACORD CORPORATION 1988